Individual
MR. DALE S NIMMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
777 E BATTLEFIELD ST, SUITE 103-F, SPRINGFIELD, MO 65807-4807
(417) 773-2921
Mailing address
1157 E GREENWOOD ST, SPRINGFIELD, MO 65807-3714
(417) 773-2921
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
26-2987198
MO
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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